Cardiovascular
When looking at an EKG a STEMI will have ST elevation or depression?
Elevation
How long do you have to get an EKG completed after a patient arrived at the ED with CHEST PAIN?
10 Minutes
What does MEWS stand for?
Modified Early Warning Sign
Name 2 devices that can be used to support the Airway.
NPA, OPA, LMA, Kings, ET, Trach
What number do you call for a BAT/Stroke Alert?
2222
What particular Lab will be drawn on a patient with a suspected MI?
Troponin
Length of time Propofol IV tubing is good for?
12 Hours
AVPU stands for?
Alertness, Voice, Pain, Unconscious
Sedation, then Paralytic (neuro blocking)
Name a common cause of AMS in Elderly not directly related to Brain Dysfunction.
UTI
Name at least 2 types of shock.
Hypovolemic, Cardiogenic, Distributive, and Obstructive
How long to complete a head CT with a patient arriving to the ED with a suspected stroke?
15 minutes
A MEWS scores greater than or equal to ____ is considered CRITICAL
8
Name 3 of the 7 P's of an RSI.
Prep, Pre-oxygenate, Pre-intubation, Paralysis, Positioning, Placement, Post-intubation
Name an IV med used to prevent Brain Herniation. HINT: Requires a Filter
Mannitol
How do you determine your patient's MAP?
SBP + 2(DBP)/3
Oral Care on Vented patients should be completed how often?
4 Hours
What is the first thing you do with a patient who has a critical MEWS score?
Notify the MD
After intubation you hear breath sounds on the right side only, what do you do and why?
Alert MD or RT to pull ETT back, too far in.
This type of stroke accounts for 85% of all Strokes.
Ischemic
What is the Immediate Treatment for and MI and what order?
Oxygen, Nitroglycerin, ASA, Morphine
Post TNK/TPA administration, Vitals and NIHSS should be done how often?
Every 15 minutes x2 hours, Every 30 minutes x6 hours, and Every 1-hour x 16 hours
In order to calculate a MEWS score, what 7 categories would need to be documented?
Temp, HR, RR, O2, BP, O2 device, and AVPU
5 main supplies that should stay at the bedside for a patient with a chest tube.
bottle of sterile water, 4x4, Vaseline gauze, Hypo fix tape, Hemostats
Name the 3 Components of Cushing's Triad.
Decreased Heartbeat, Irregular Respirations, Widened Pulse Pressure